Active NPI
Ashalatha Kesavankutty Nair, MD
- Anesthesiology Physician
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME124143
- Practice address
- 6 Lodge Rd
Great Neck, NY 11021-3912 - Phone
- (516) 491-6880
- Fax
- (516) 482-3512
- NPI assigned
- Sep 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | M001411 | GU | |
| Anesthesiology Physician | 207L00000X | ME124143 | FL | Primary |
Addresses
Primary practice location
6 Lodge Rd
Great Neck, NY 11021-3912
Mailing address
2655 Collins Ave Apt 911
Miami Beach, FL 33140-4713
Phone (516) 491-6880
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8K0201 | Other | BLUE SHIELD | |
| AN001557 | Other | WORKERS COMPNO | |
| 02208015 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Dean Rd
Suite 102
Orlando, FL 32825-3710
Phone (407) 506-0006
4425 Ponce de Leon Blvd
Suite 110
Coral Gables, FL 33146-1842
Phone (305) 446-4673
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME124143 | FL | MD | Anesthesiology Physician |
| M001411 | GU | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Anesthesiology | Current | Accepting new patients |
| Miami Anesthesia Services LLC | Anesthesiology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesiology Pain Associates PLLC | Past | Accepting new patients | |
| Mount Sinai School of Medicine | Past | Accepting new patients |
Locations
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
4425 Ponce de Leon Blvd
Ste 110
Coral Gables, FL 33146
Phone (305) 446-4673
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855
5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
2645 SW 37th Ave
Ste 400
Miami, FL 33133
Phone (305) 447-0882
100 N Dean Rd
Ste 102
Orlando, FL 32825
Phone (407) 506-0006
10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600
2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915
7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
-
- Anesthesiology Physician
- Aventura, FL
- NPI 1821475179
-
dba Mount Sinai Elmhurst Faculty practice Group
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
-
dba Mount Sinai Elmhurst Faculty Practice Group
- Anesthesiology Physician
- Elmhurst, NY
- NPI 1063766038
-
dba Mount Sinai Elmhurst Faculty Practice Group
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1619221686
-
- Pain Medicine (Anesthesiology) Physician
- Great Neck, NY
- NPI 1497052716
-
dba Mount Sinai Elmhurst Faculty Practice Group
- Internal Medicine Physician
- Elmhurst, NY
- NPI 1013147313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1144322926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2655 COLLINS AVE APT 911",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331404713",
"telephone_number": "516-491-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 LODGE RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110213912",
"telephone_number": "516-491-6880",
"fax_number": "516-482-3512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIR",
"first_name": "ASHALATHA",
"middle_name": "KESAVANKUTTY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GU",
"license": "M001411",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME124143",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "8K0201",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPNO",
"identifier": "AN001557",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02208015",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.